Claims Administrator

Role Overview

• Assess, prioritize, and route incoming claims communications based on urgency and complexity across both insurance and reinsurance claims teams
• Identify and escalate complex or legally sensitive claims to the appropriate teams
• Verify the accuracy of policy and claim information for new claim notifications
• Update and maintain claim records within claims systems to ensure accuracy and completeness
• Provide customer service support by responding to calls, emails, and inquiries related to claim files
• Collaborate with claim analysts and internal stakeholders to ensure timely and accurate claim processing
• Determine coverage for straightforward claims by reviewing applicable policy terms and conditions
• Ensure timely and accurate entry of claim reserves and payments
• Prepare reports, worksheets, and presentations as needed to support claims operations
• Contribute to team and departmental quality and productivity standards, with a strong focus on accuracy and attention to detail
• Identify opportunities for process improvements within claims workflows
• Participate in individual meetings and training sessions as required
• Provide back-up support to other areas of the department as needed
• Adhere to all departmental and company policies and guidelines
• Collaborate with cross-functional teams to provide periodic updates on claims activity
• Support monthly and quarterly reporting cycles, including the preparation and review of materials for claims meetings and other scheduled reports
• Perform additional responsibilities as required to support the needs of the organization

Requirements

• Bachelor’s degree or equivalent work experience preferred
• 1 to 5 years’ experience in claims administration, insurance operations, or a related field preferably within the insurance and/or reinsurance industry
• Attention to detail with the ability to handle high volumes of data accurately
• Ability to prioritize and manage deadlines
• Strong analytical and problem-solving abilities
• Excellent written and verbal communication skills
• Proficiency in Microsoft Office suite and database systems, with strong working knowledge of PowerPoint and Excel
• Knowledge of ImageRight, SICS or a similar claims system is an advantage
• Ability to incorporate changing processes with AI adoption
• Ability to work both independently and collaboratively as part of a team

Benefits

• Vibrant, entrepreneurial, and collaborative culture
• Opportunities to develop varied skills and knowledge